中医杂志

“生生”理念是中医文化和中医临床的核心思想，源于《周易》“生生之谓易”。“制则生化”出自《黄帝内经》的五运六气之道，以五行胜负为基础。通过阐释“生生”和“制则生化”的源流和哲学内涵，发现二者的思想内涵皆根于《易经》，均强调矛盾和制约是万事万物生成发展演变的基础。基于阴阳相制、五行胜负论述“制则生化”与“生生”之间的内在关系，认识到阴阳相制是天地既济中和之前提，阴阳互藏相因是“制则生化”的内在机理，五行生克相随为天地造化之枢机，五行生克恩害为“生生”之手段，“制则生化”为“生生”之基本属性，制则中节为“生生”之法度，体现了矛盾相克相生的辩证观，不仅对中医基础理论有着奠基作用，而且对中医临床有着重要指导意义。

The philosophy of "sheng sheng （生生）", to continuously generate livings, is the core concept of traditional Chinese medicine(TCM) culture and clinical practice, originating from the "yi （易）" in the Book of Changes （《周易》）. The principle of "generation out of constraint" originates from the five circuits and six qi in the The Inner Canon of Yellow Emperor （《黄帝内经》）, based on the retriction or non-restriction of the five phases. By explaining the origins and philosophical connotations of "sheng sheng" and "generation out of constraint", it is found that the ideological connotations of both are rooted in the Book of Changes, and contradiction and constraints are the basis for the generation, development, and evolution of all things. Based on the discussion of the internal relationship between "generation out of constraint" and "sheng sheng" from the perspective of the restriction between yin and yang and the five phases, it is found that mutual regulation of yin and yang is a prerequisite for the harmony between heaven and earth, while the mutual storing of yin and yang is the internal mechanism of "generation out of constraint"; the mutual generation and restraint of the five phases are the mechanisms underlining the creation of heaven and earth, and the benefits and harms arising from their interactions are the means of "sheng sheng". "Generation out of constraint" constitutes the fundamental attribute of "sheng sheng", while moderation within regulation provides its guiding principle. It embodies the dialectical view of contradiction in which mutual restriction gives rise to mutual generation, serving not only as the foundation for the basic theory of TCM, but also as an important guide for clinical practice.